Individual provider Active NPI

Gerald F Pribil, MD

  • Family Medicine Physician
  • Bartlesville, OK
National Provider Identifier
1376535294
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12275 Issued in OK
Practice address
3450 E Frank Phillips Blvd Ste 300
Bartlesville, OK 74006-2401
Phone
(918) 331-3760
Fax
(918) 331-3761
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12275 OK Primary

Addresses

Primary practice location

3450 E Frank Phillips Blvd Ste 300
Bartlesville, OK 74006-2401

Mailing address

226 SE Debell Ave BLDG a
Bartlesville, OK 74006-2343
Phone (918) 331-3760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001387 OK Practitioner - Family Practice 3678555372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

Hospital & facility affiliations

  • Angels Care Home Health of East Oklahoma Home health agency, Broken Arrow, OK, CCN 377171
  • Ascension at Home Home health agency, Bartlesville, OK, CCN 377272
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 1, 2014 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Gemini After Hours Clinic Inc Family Medicine Past Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients

Locations

3450 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-2273

3450 E Frank Phillips Blvd
Ste 400
Bartlesville, OK 74006
Phone (918) 338-3740

3450 E Frank Phillips Blvd
Ste 300
Bartlesville, OK 74006
Phone (918) 331-3760

226 SE Debell Ave
Bldg A
Bartlesville, OK 74006
Phone (918) 333-7200

701 Leahy Ave
Pawhuska, OK 74056
Phone (918) 287-1310

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1376535294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL AVE BLDG A",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062343",
            "telephone_number": "918-331-3760",
            "fax_number": "918-331-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E FRANK PHILLIPS BLVD STE 300",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062401",
            "telephone_number": "918-331-3760",
            "fax_number": "918-331-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIBIL",
        "first_name": "GERALD",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "12275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.